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Utilization Review Rn Jobs in Baton Rouge, LA (NOW HIRING)

US Tech Solutions

Registered Nurse

Baton Rouge, LA

Registered Nurse with current license in LA state of employment. Additional licensure may be ... Utilization Management. Prior Authorization Review experience About US Tech Solutions: US Tech ...

CVS Health

Case Manager, Registered Nurse

Baton Rouge, LA · Remote

$54.10K - $155.54K/yr

A RN who resides in a compact state is required to have an active multistate license through the ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

US Tech Solutions

Registered Nurse

Baton Rouge, LA

Registered Nurse with current license in LA state of employment. Additional licensure may be ... Utilization Management. Prior Authorization Review experience About US Tech Solutions: US Tech ...

UnitedHealthcare

Registered Nurse - RN

Baton Rouge, LA

$36.98 - $81.63/hr

Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

UnitedHealthcare

Registered Nurse - RN

Baton Rouge, LA

$36.98 - $81.63/hr

Registered Nurse In Home Health Explore opportunities with Baton Rouge General Home Health, a part ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

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Utilization Review Rn information

See Baton Rouge, LA salary details

$16

$33

$54

How much do utilization review rn jobs pay per hour?

As of May 28, 2026, the average hourly pay for utilization review rn in Baton Rouge, LA is $33.17, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $38.08 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What are the most commonly searched types of Utilization Review Rn jobs in Baton Rouge, LA? The most popular types of Utilization Review Rn jobs in Baton Rouge, LA are:
What are popular job titles related to Utilization Review Rn jobs in Baton Rouge, LA? For Utilization Review Rn jobs in Baton Rouge, LA, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Baton Rouge, LA look for? The top searched job categories for Utilization Review Rn jobs in Baton Rouge, LA are:
What cities near Baton Rouge, LA are hiring for Utilization Review Rn jobs? Cities near Baton Rouge, LA with the most Utilization Review Rn job openings:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Baton Rouge, LA as of May 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $68,998 per year, or $33.2 per hour.

Utilization Review Liaison

Avenues Recovery

Baton Rouge, LA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Job description

Who We Are


Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen
locations across six states. With an unrivaled, evidence - based clinical curriculum and highly
individualized care, Avenues continues to set new standards in the world of addiction treatment. Our
programs - spanning detox, residential, PHP, IOP and outpatient services - have transformed the
lives of thousands to date. But our secret superpower is our people. If you are a talented, passionate
clinician looking to make a real difference in the recovery community, the Avenues family warmly
welcomes you!

Avenues Recovery Center in Baton Rouge is looking for hire a Utilization Review Liaison!


What You'll Do

Provide complete support to Utilization Review team, coordinating between all necessary parties
Provide compliance and quality assurance oversight, ensuring consistent review and development of clinical processes
Perform consistent chart audits and reviews to ensure all is up to date
Provide accountability and follow up for any missing chart items, follow-ups etc.
Engage clients throughout treatment to contribute to warm, recovery - oriented environment
Collaborate with extended treatment team as necessary
Conduct intake assessments and facilitate group sessions when needed


What We're Looking For

  • High School diploma/ GED required
  • Min. 1 year experience in treatment industry preferred
  • If in recovery, a minimum one-year period of sustained sobriety is required.
  • Excellent interpersonal, oral, and written communication skills
  • Acute observational, collaboration, and leadership skill
  • Knowledge of medical terminology

Where You'll Work


Avenues Recovery Center at Louisiana is a residential facility which offers inpatient drug and alcohol rehabilitation services as well as withdrawal management. Its unique setup - one treatment facility surrounded by 10 beautiful, converted townhomes - enables clients to engage in full-time inpatient treatment while separately residing in a warm domestic setting, removing barriers and diminishing any institutionalized feeling. Staffed by skilled, passionate professionals, clients receive round - the - clock care in the most dignified and compassionate manner. Each staff member is 100% invested in the success of each client and contributes to the wonderful, pervasive homelike atmosphere - which consistently fosters openness and healing.


Why Join Us?


Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is
pursued. We support our employees unconditionally, and work to provide them with every resource
they need to excel! Aside from generous PTO and compensation, when you join the Avenues family,
you'll be eligible for the following benefits package:


401K with employer match
Medical Insurance
Dental
Vision
Accident
Critical Illness
Hospital Indemnity
Voluntary Short-Term Disability
Voluntary Long -Term Disability
Employer-Paid Life and AD&D
LifeTime Benefit Term Insurance with Long Term Care
Legal Coverage
Pet Insurance
Identity Theft Protection
Employer-Paid Employee Assistance Program
Flexible Spending Account (FSA) - Medical
Dependent Care FSA (DCF)

Join our growing team and discover the magic here at Avenues!


Apply today!


Apply